| Smiles of Spokane | |
|
3606 S Regal St Spokane WA 99223-4648 | |
| (509) 838-4165 | |
| (509) 838-6959 |
| Full Name | Smiles of Spokane |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3606 S Regal St, Spokane, Washington |
| Authorized Official Name and Position | Felisha Pederson (MANAGER) |
| Authorized Official Contact | 5098384165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles of Spokane 3606 S Regal St Spokane WA 99223-4648 Ph: (509) 838-4165 | Smiles of Spokane 3606 S Regal St Spokane WA 99223-4648 Ph: (509) 838-4165 |
| NPI Number | 1780036814 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780036814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00006531 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | DH00006298 (Washington) | Secondary |
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